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Madonna Rae Judge, LLPC
Counselor in Plymouth, Michigan
NPI 1407504814

Madonna Rae Judge is a Counselor based in Northville, MI. Madonna Rae Judge practices in Plymouth, MI and has the professional credentials of LLPC. The NPI Number for Madonna Rae Judge is 1407504814 and holds a License No. 6451019574 (Michigan).

The current practice location address for Madonna Rae Judge is 9409 N Haggerty Rd, Plymouth, MI and can be reached out via phone at 734-559-3540.

Location: 9409 N Haggerty Rd, Plymouth, MI, 48167-1246
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407504814
Provider Name
Madonna Rae Judge
Credential
LLPC
Provider Entity Type
Individual
Gender
Female
Address
9409 N Haggerty Rd, Plymouth, MI, 48167-1246
Phone Number
734-559-3540
Fax Number
Provider Enumeration Date
03/15/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9409 N Haggerty Rd
City
Plymouth
State
Michigan
Zip
48170-4696
Phone Number
734-559-3540
Fax Number
person
Provider Business Mailing Address Details
Address
9409 N Haggerty Rd
City
Plymouth
State
Michigan
Zip
48170-4696
Phone Number
734-559-3540
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
6451019574 (Michigan)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
6451019574 (Michigan)
Definition
Definition to come...
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